Michelle Porter Otr Inc.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

17-01284 Issued in KS

Legal business name

MICHELLE PORTER OTR INC.

Practice address

121 S. Christian Ave.
Moundridge, KS 67107-0743

Phone

(620) 345-3000

Fax

(620) 345-3042

NPI assigned

Sep 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle M Porter, OTRNPI 1700989266

Title

President

Phone

(620) 345-3000

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle M Porter, OTR

  • Pediatric Occupational Therapist
  • Moundridge, KS
  • NPI 1700989266

  Pediatrics

  NPD (past) Authorized official
• Leland L Porter, D.C.

  • Chiropractor
  • Moundridge, KS
  • NPI 1841394947
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477656940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S. CHRISTIAN AVE.",
            "address_2": "PO BOX 743",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671070743",
            "telephone_number": "620-345-3000",
            "fax_number": "620-345-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S. CHRISTIAN AVE.",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671070743",
            "telephone_number": "620-345-3000",
            "fax_number": "620-345-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE PORTER OTR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-345-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "KS",
            "license": "17-01284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anna Grace Miller, OTD
• Moundridge Dental Center Chartered
• Moundridge Dental, P.a.
• Moundridge Manor Inc.
• Moundridge Usd423

• Pediatric Occupational Therapist in Moundridge, KS
• Providers in Moundridge, KS by specialty
• Pediatric Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.